管道风险评估量表联合缩减约束方案在重症肺炎气管插管患者中的应用  

Application of Pipeline Risk Assessment Scale Combined with Reduced Restraint Program in Patients with Severe Pneumonia Intubation

作　　者：张海艳[1] 蒋炬[1] 李莹莹 陈志萍[1] ZHANG Haiyan;JIANG Ju;LI Yingying;CHEN Zhiping(Wuxi People's Hospital,Wuxi 214000,China;不详)

机构地区：[1]无锡市人民医院,江苏无锡214000

出　　处：《中外医学研究》2024年第26期90-93,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:评估管道风险评估量表联合缩减约束方案在重症肺炎气管插管患者中的应用。方法:选取2019年1月—2023年1月无锡市人民医院收治的80例重症肺炎气管插管患者为研究对象。根据随机数表法将其分为对照组和观察组,各40例。两组均给予常规护理,对照组实施常规约束护理,观察组实施管道风险评估量表联合缩减约束方案。比较两组相关指标、并发症、护理满意度。结果:观察组非计划性拔管(UE)率、身体约束工具使用率及皮肤损伤发生率均低于对照组,身体约束时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为10.00%,低于对照组的27.50%,差异有统计学意义(P<0.05)。观察组护理总满意度为92.50%,高于对照组的72.50%,差异有统计学意义(P<0.05)。结论:管道风险评估量表联合缩减约束方案能有效降低重症肺炎气管插管患者的UE风险,提高患者满意度。Objective:To assess the application of pipeline risk assessment scale combined with reduced restraint program in patients with severe pneumonia intubation.Method:A total of 80 patients with severe pneumonia intubation in Wuxi People's Hospital from January 2019 to January 2023 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 40 cases in each group.Both groups were given routine nursing,the control group was given routine restraint nursing,and the observation group was given pipeline risk assessment scale combined with restraint reduction program.The relevant indicators,complications and nursing satisfaction were compared between the two groups.Result:The unplanned extubation(UE)rate,the use rate of physical restraint tools and the incidence of skin injury in the observation group were lower than those in the control group,and the time of physical restraint was shorter than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 10.00%,which was lower than 27.50%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of nursing in the observation group was 92.50%,which was higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The combination of pipeline risk assessment scale and reduced constraint scheme can effectively reduce the risk of UE in patients with severe pneumonia intubation and improve patient satisfaction.

关 键 词：重症肺炎 气管插管 非计划性拔管 风险评估 缩减约束方案 

分 类 号：R473.5[医药卫生—护理学]